Symptoms and Signs

Pain, irritation, and a subpreputial discharge often occur 2 or 3 days after sexual intercourse. Phimosis, superficial ulcerations, and inguinal adenopathy may follow.

Diagnosis

Clinical evaluation and selective testing

History should include investigation of latex condom use. The skin should be examined for lesions that suggest a dermatosis capable of genital involvement. Patients should be tested for both infectious and noninfectious causes, especially candidiasis. Blood should be tested for glucose.

Treatment

Hygiene and treatment of specific causes

Sometimes subpreputial irrigation

Sometimes circumcision

Hygiene measures should be instituted and specific causes treated. Subpreputial irrigation to remove secretions and detritus may be necessary. If phimosis persists after inflammation has resolved, circumcision should be considered.

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